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Individual

DR. ALLEN EDWIN SHEPHERD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 646-8881
(671) 648-2556
Mailing address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 646-8881
(671) 648-2556

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01043389A
IN

Other

Enumeration date
03/20/2008
Last updated
03/20/2008
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